HomeMy WebLinkAboutDrain Layers Permit 239 Oak Street (2) TOWN OF SOUTH Wi N DSOR
DEPARTMENT OF POLkUTION CONTROL
South WiQ&or'„Cgnneclicut
y
DRAIN LAYER'S PERMIT N0 435
19 ►
Pursuant to written application,.permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0* 81110 on the
son side, between
at premises owned by'
whose address is
and to 3_Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE; INDUSTRIAL WASTES, OR
Connection will be made with rao
Permit to be issued to '
the holder of Drain Layer's.License No.: •Permit will expire-on Sm. �
The undersigned>Drain'Layer hereby agrees to all It terms and conditions set forth on the perms[and the reverse t?;de
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL.,CQNDITIONS
Signed
Connection Charge Paid, Sepk,*31. Licensed Drain Layer
P !r sa asts (Sig) Issued by
14%* A• s i�a�I► fit.
Tax Collector
Permit Fee: Paid ps+o
INSPECTION:
l
INITIAL - (Sig)
FINAL (Sig)
APPROVED f_�1:i - 7 -' (Date)
r
f� (Sig)
INSPECTOR